Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.01 / $1,173.61 / $1,492.02	Professional		$791.01	$1,173.61	$1,492.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $812.83 / $866.52	Professional		$593.37	$812.83	$866.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $288.18 / $288.18	Facility		$288.18	$288.18	$288.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.97 / $1,289.58 / $2,036.18	Professional		$375.97	$1,289.58	$2,036.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $577.52 / $577.52 / $1,322.05	Facility		$577.52	$577.52	$1,322.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.69 / $1,322.05 / $2,935.95	Professional		$971.69	$1,322.05	$2,935.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $288.18 / $812.83	Facility		$288.18	$288.18	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $1,038.18 / $1,586.46	Professional		$593.37	$1,038.18	$1,586.46
United Facility/Professional Professional Modifier Low / Median / High Price $704.63 / $1,394.03 / $1,818.30	Professional		$704.63	$1,394.03	$1,818.30